Form OR-PS, Care Provider Statement, 150 ... - cloudfront.net 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Part 1 with taxpayer and provider information. Ensure you use UPPERCASE letters and blue or black ink. Include details such as the tax year, names, and identification numbers.
3. Proceed to Part 2 to list each dependent. For each dependent, provide their name, age, and total amounts received from both the taxpayer and any third parties.
4. In Part 3, answer questions regarding payment frequency and methods. Be sure to clarify if you provided receipts for payments received.
5. Complete Part 4 by signing and dating the declaration. This confirms that all information is accurate to the best of your knowledge.
6. Once completed, save your form and attach any required documentation before submitting it as instructed.

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